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Managed care contracting has become a core business function in healthcare. For hospitals, physician groups, and health plans, the ability to create win-win managed care relationships is a prerequisite for long-term success.
However, successful managed care contracting is a daunting challenge, requiring a range of skills from creating an organizational vision and strategy to pricing specific services. Managed Care Contracting provides all the necessary tools to meet the challenge of managed care contracting. It prepares readers to assess the internal and external environments pertaining to managed care, formulate a managed care contracting strategy, price services for managed care, understand and accept capitation, prepare for contract negotiations, develop structures for effective managed care contracting, and administer managed care contracts.
